Assignment Task
Priority Problem: Pain in joints and lower back due to osteoarthritis.
Related NANDA statement: Risk for pain and fracture secondary to osteoarthritis
SMART Goal: Risk for fracture and pain due to pre-existing osteoarthritis.
Independent Nursing Intervention Rationale Expected Outcome (RUMBA format) Supportive Evidence
The patient can be managed with the help of heat therapy on the affected joint surface to reduce swelling and pain. This will help limit the pain and discomfort in the joint as well as adjacent tissue structure.
The use of protective devices such as knee cap can be recommended by physical therapists for reducing the weight load on the affected joint.
Heat therapy will help in improving circulation in the affected joint. It will also help in reducing stiffness and irritation, which will help in enhancing the range of motion of the joint.
Osteoarthritis affected joints are more prone to fracture and injury due to loss of bone mass and density. The bony structure becomes more brittle and is unable to bear the designated stress and loads. Ambulation with protective devices will help in load division and will thus, assist in reducing the total load on the affected joint surface. Thus, fewer chances of potential injury and harm.
The patient can be observed for pain intensity in the affected joint surface with the help of the VAS scale. The pain intensity will also help in noting the level of discomfort for the patient. The outcomes will be noted as reduced swelling and discomfort and improved range of motion.
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